Individual
BENJAMIN F WOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3 SAINT ELIZABETH BLVD STE 4000, O FALLON, IL 62269-1284
(618) 233-5480
(844) 458-7916
Mailing address
3 SAINT ELIZABETH BLVD STE 4000, O FALLON, IL 62269-1284
(618) 233-5480
(844) 458-7916
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
11020912A
IL
390200000X
Student in an Organized Health Care Education/Training Program
Primary
11020912A
IN
Other
Enumeration date
06/08/2020
Last updated
04/02/2026
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